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Pott Puffy Tumor : Case Report Ade Wirdayanto; Hadiyan Adhli Muhammad
Jurnal Ilmu Kedokteran Vol 17, No 1 (2023): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v17i1.2023.90-96

Pott puffy tumor (PPT) is an abscess of the subperiosteal os, frontalis. Frontalis subperiosteal abscess is often found in cranial osteomyelitis. Cranial osteomyelitis is an inflammatory process of the cranial bones, mainly caused by pyogenic organisms. The most common cause of cranial osteomyelitis in developing countries is paranasal sinusitis. One of the causes of PPT is an infection of the frontal sinus. Intracranial complications are the most common complications of PPT, one of which is a cerebral abscess in the frontal lobe. In this case report, the patient complained of forehead swelling that spread to both upper eyelids. There is a history of boils on the left side of the forehead since 3 weeks ago but was not treated medically. On physical examination, there was no neurological deficit. In the initial action, aspiration of the swelling results in the form of pus. Based on the results of a plain head CT scan and 3D skull bones, the results obtained were an appearance of an abscess in the subperiosteal frontal bone and osteomyelitis of the frontal bone. The patient underwent debridement craniectomy and further therapy in the form of intravenous antibiotics. As a follow-up examination, an examination of pus culture and examination of anatomical pathology were carried out, and obtained cranial osteomyelitis results but found no pathogenic germs.

Pengobatan dan Edukasi Penyakit Skabies pada Anak Panti Asuhan Desa Pelintung, Medang Kampai Kota Dumai Esy Maryanti; Enny Lestary; Ade Wirdayanto; Wira Firja; Muhammad Devlin
KAIBON ABHINAYA : JURNAL PENGABDIAN MASYARAKAT Vol. 5 No. 2 (2023)
Publisher : Universitas Serang Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30656/ka.v5i2.5667

Abstract Scabies is a disease caused by a parasitic infestation; Sarcoptes scabiei var hominis. This disease is a neglected parasitic disease with symptoms of itching on the skin infested with Sarcoptes scabiei. This disease is not fatal but can interfere with daily activities in infected people. Scabies often occurs in people who live together in groups such as in dormitories and orphanages. The aim of this activity were to find out the incidence of scabies in orphanage children and to carry out treatment and provide education about scabies. This activity was carried out at the Pelintung Village orphanage, Medang Kampai District, Dumai City, Riau Province. A total of 53 children examined were found 28.3% positive for scabies and boys were more infested than girls. In children who were positive for scabies given topical therapy permethrin 5%. In addition to treatment, education was also provided about scabies and it was found that children’s knowledge before and after education had increased. It is hoped that this activity will continue to be carried out on an ongoing basis so that it can eradicate scabies in orphanages. Keywords : children, Sarcoptes scabiei, scabies, orphanage

The Incidence and Characteristics of Dermatophytosis in Boarding School Students in Bandar Sei-Kijang, Pelalawan, Riau Province, Indonesia Maryanti, Esy; Inayah; Enny Lestari; Ade Wirdayanto; Namira, Syafira Nihla; Robiatul Adawiyah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.131-135

Background: Indonesia is a tropical country with high humidity and temperatures, making dermatophytosis a persistent health issue. Dermatophytoses are superficial mycoses caused by dermatophytes affecting the skin, hair, and nails. Also known as tinea infections. Purpose: To determine the incidence of dermatophytosis and types of dermatophytosis among boarding school students in Sei-Kijang, Pelalawan, Riau Province. It was conducted from August 2023 until October 2023. Methods: This research is a simple descriptive study with a cross-sectional design. The aim of the study was to detect dermatophytes in the skin lesions. Dermatophytosis examination was carried out by microscopic examination of skin scrapings with 10-20% potassium hydroxide (KOH) and fungal culture using Sabouraud’s dextrose agar and then examined with a light microscope (lactophenol cotton blue staining). Result: In this study, there were 339 research subjects with 51% male students and 49% female students with an average age of 14.3 years. This study found that the incidence of dermatophytosis was 4.1%, with male students in the 10 to 14-year-old age group having a higher infection rate (71%) than female students. The incidence of tinea corporis was 64.3%, followed by tinea cruris, tinea pedis, and tinea faciei, depending on the type of dermatophytosis. Tinea capitis and tinea unguium were not found. Conclusions: This study demonstrates a high incidence of dermatophytosis, tinea corporis being the predominant type among boarding school students in Bandar Sei-Kijang.

Functional Limb Salvage Following a 24-Hour-Delayed Fasciotomy for Pediatric Hand Compartment Syndrome: A Case Report Rohman Sungkono; Adri Yandra Hidayat; Andrea Valentino; Ade Wirdayanto; Arip Heru Tripana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 12 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i12.1458

Background: Acute compartment syndrome (ACS) in the pediatric hand is a formidable surgical emergency where delayed diagnosis can lead to devastating neuromuscular deficits and limb loss. The narrow therapeutic window, often termed the "golden hours," is considered critical for preventing irreversible ischemic necrosis. Presentations delayed beyond this period, especially in pre-verbal children, pose a significant clinical and ethical dilemma regarding the utility and risks of surgical intervention. Case presentation: A 2-year-old female presented to our emergency department 24 hours after a severe crush injury to her right hand from a noodle-making machine. The hand was massively swollen, cyanotic, and insensate, with no detectable capillary refill or digital oximetry readings. A clinical diagnosis of advanced, multi-compartmental ACS was made. Emergency surgical decompression was performed via seven incisions, releasing all ten osteofascial compartments. Intraoperative assessment revealed dusky, non-contractile but bleeding muscle. Following staged debridements, the patient demonstrated remarkable recovery. At six months, she achieved full range of motion in all digits except the middle finger and demonstrated age-appropriate grip and pincer grasp, with the primary sequela being a fixed flexion contracture of the middle finger's proximal interphalangeal joint. Conclusion: This report highlights a case of unexpected functional recovery following a significantly delayed fasciotomy. The outcome supports a nuanced approach to delayed pediatric ACS, suggesting that in select cases, aggressive surgical decompression should be considered as the potential for a positive outcome may exist. This case serves as a powerful, hypothesis-generating observation that raises critical questions about the absolute temporal limits for surgical intervention and underscores the importance of individualized surgical judgment.

Functional Limb Salvage Following a 24-Hour-Delayed Fasciotomy for Pediatric Hand Compartment Syndrome: A Case Report Rohman Sungkono; Adri Yandra Hidayat; Andrea Valentino; Ade Wirdayanto; Arip Heru Tripana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 12 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i12.1458

Background: Acute compartment syndrome (ACS) in the pediatric hand is a formidable surgical emergency where delayed diagnosis can lead to devastating neuromuscular deficits and limb loss. The narrow therapeutic window, often termed the "golden hours," is considered critical for preventing irreversible ischemic necrosis. Presentations delayed beyond this period, especially in pre-verbal children, pose a significant clinical and ethical dilemma regarding the utility and risks of surgical intervention. Case presentation: A 2-year-old female presented to our emergency department 24 hours after a severe crush injury to her right hand from a noodle-making machine. The hand was massively swollen, cyanotic, and insensate, with no detectable capillary refill or digital oximetry readings. A clinical diagnosis of advanced, multi-compartmental ACS was made. Emergency surgical decompression was performed via seven incisions, releasing all ten osteofascial compartments. Intraoperative assessment revealed dusky, non-contractile but bleeding muscle. Following staged debridements, the patient demonstrated remarkable recovery. At six months, she achieved full range of motion in all digits except the middle finger and demonstrated age-appropriate grip and pincer grasp, with the primary sequela being a fixed flexion contracture of the middle finger's proximal interphalangeal joint. Conclusion: This report highlights a case of unexpected functional recovery following a significantly delayed fasciotomy. The outcome supports a nuanced approach to delayed pediatric ACS, suggesting that in select cases, aggressive surgical decompression should be considered as the potential for a positive outcome may exist. This case serves as a powerful, hypothesis-generating observation that raises critical questions about the absolute temporal limits for surgical intervention and underscores the importance of individualized surgical judgment.

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